首页|自拟滋肾壮骨汤对骨质疏松压缩性骨折术后骨代谢指标的影响

自拟滋肾壮骨汤对骨质疏松压缩性骨折术后骨代谢指标的影响

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目的:探究自拟滋肾壮骨汤对骨质疏松压缩性骨折术后骨代谢指标的影响.方法:将高安市骨伤医院 2021年 1 月 1 日—2023 年 9 月 30 日收治的骨质疏松性压缩性骨折患者 100 例按随机数字表法分为两组各 50 例.对照组予以椎体形成术、阿仑膦酸钠治疗,试验组在此基础上加用滋肾壮骨汤.共治疗 3 个月,比较两组治疗前后椎体前缘高度、Cobb角、活动功能、疼痛程度、中医证候积分、骨代谢指标,治疗过程中并发症情况.结果:治疗后,试验组椎体前缘高度大于对照组(P<0.001);Cobb角、ODI指数、VAS评分、中医证候积分均低于对照组(P<0.001);BGP、BALP、OPG均高于对照组(P<0.001);治疗过程中,试验组并发症发生率与对照组比较,差异无统计学意义(P>0.05).结论:自拟滋肾壮骨汤可促进骨代谢,改善中医证候,有助于伤椎修复,缓解疼痛,提高活动能力,用于骨质疏松压缩性骨折的治疗具有较好疗效.
The Effect of Bushen Huoxue Decoction on Postoperative Bone Metabolism Indicators in Osteoporotic Compression Fractures
Objective:Exploring the clinical observation of Bushen Huoxue Decoction combined with vertebroplasty in the treatment of osteoporotic thoracolumbar compression fractures.Method:100 patients with osteoporotic thora-columbar compression fractures admitted to our hospital from January 1,2021 to September 30,2023 were randomly divided into two groups with 50 cases each.The control group was treated with vertebroplasty and alendronate sodium,while the experimental group was treated with Bushen Buxue Decoction on this basis.A total of 3 months of treatment were conducted,and the height of the anterior edge of the vertebral body,Cobb angle,activity function,pain level,traditional Chinese medicine syndrome scores,bone metabolism indicators,and complications during the treatment were compared between the two groups before and after treatment.Result:After treatment,the height of the anterior edge of the vertebral body in the experimental group was higher(P<0.001),the Cobb angle,ODI index,VAS score,and tra-ditional Chinese medicine syndrome score were all lower(P<0.001),BGP,BALP,and OPG were all higher than those in the control group(P<0.001),during the treatment process,there was no statistically significant difference in the incidence of complications between the experimental group and the control group(P>0.05).Conclusion:Bushen Huox-ue Decoction can promote bone metabolism,improve traditional Chinese medicine syndromes,help repair injured ver-tebrae,relieve pain,and improve mobility.It has good therapeutic effects for the treatment of osteoporotic compression fractures.

osteoporotic thoracolumbar compression fracturepercutaneous vertebroplastyZishen Zhuanggu De-coctionbone metabolism

邹恒锋、涂发根、肖春强

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江西省高安市骨伤医院 江西高安 330800

骨质疏松性压缩性骨折 经皮椎体形成术 自拟滋肾壮骨汤 骨代谢

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(1)
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